Abstract
Purpose: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. Methods: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. Results: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient’s journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. Conclusion: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]
Original language | English (US) |
---|---|
Pages (from-to) | 925-945 |
Number of pages | 21 |
Journal | European Spine Journal |
Volume | 27 |
DOIs | |
State | Published - Sep 1 2018 |
Keywords
- Global burden of disease
- Musculoskeletal system
- Quality of health care
- Spinal diseases
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
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The Global Spine Care Initiative : model of care and implementation. / Johnson, Claire D.; Haldeman, Scott; Chou, Roger; Nordin, Margareta; Green, Bart N.; Côté, Pierre; Hurwitz, Eric L.; Kopansky-Giles, Deborah; Acaroğlu, Emre; Cedraschi, Christine; Ameis, Arthur; Randhawa, Kristi; Aartun, Ellen; Adjei-Kwayisi, Afua; Ayhan, Selim; Aziz, Amer; Bas, Teresa; Blyth, Fiona; Borenstein, David; Brady, O’Dane D.; Brooks, Peter; Camilleri, Connie; Castellote, Juan M.; Clay, Michael B.; Davatchi, Fereydoun; Dudler, Jean; Dunn, Robert; Eberspaecher, Stefan; Emmerich, Juan; Farcy, Jean Pierre; Fisher-Jeffes, Norman; Goertz, Christine; Grevitt, Michael; Griffith, Erin A.; Hajjaj-Hassouni, Najia; Hartvigsen, Jan; Hondras, Maria; Kane, Edward J.; Laplante, Julie; Lemeunier, Nadège; Mayer, John; Mior, Silvano; Mmopelwa, Tiro; Modic, Michael; Moss, Jean; Mullerpatan, Rajani; Muteti, Elijah; Mwaniki, Lillian; Ngandeu-Singwe, Madeleine; Outerbridge, Geoff; Rajasekaran, Shanmuganathan; Shearer, Heather; Smuck, Matthew; Sönmez, Erkin; Tavares, Patricia; Taylor-Vaisey, Anne; Torres, Carlos; Torres, Paola; van der Horst, Alexander; Verville, Leslie; Vialle, Emiliano; Kumar, Gomatam Vijay; Vlok, Adriaan; Watters, William; Wong, Chung Chek; Wong, Jessica J.; Yu, Hainan; Yüksel, Selcen.
In: European Spine Journal, Vol. 27, 01.09.2018, p. 925-945.Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - The Global Spine Care Initiative
T2 - model of care and implementation
AU - Johnson, Claire D.
AU - Haldeman, Scott
AU - Chou, Roger
AU - Nordin, Margareta
AU - Green, Bart N.
AU - Côté, Pierre
AU - Hurwitz, Eric L.
AU - Kopansky-Giles, Deborah
AU - Acaroğlu, Emre
AU - Cedraschi, Christine
AU - Ameis, Arthur
AU - Randhawa, Kristi
AU - Aartun, Ellen
AU - Adjei-Kwayisi, Afua
AU - Ayhan, Selim
AU - Aziz, Amer
AU - Bas, Teresa
AU - Blyth, Fiona
AU - Borenstein, David
AU - Brady, O’Dane D.
AU - Brooks, Peter
AU - Camilleri, Connie
AU - Castellote, Juan M.
AU - Clay, Michael B.
AU - Davatchi, Fereydoun
AU - Dudler, Jean
AU - Dunn, Robert
AU - Eberspaecher, Stefan
AU - Emmerich, Juan
AU - Farcy, Jean Pierre
AU - Fisher-Jeffes, Norman
AU - Goertz, Christine
AU - Grevitt, Michael
AU - Griffith, Erin A.
AU - Hajjaj-Hassouni, Najia
AU - Hartvigsen, Jan
AU - Hondras, Maria
AU - Kane, Edward J.
AU - Laplante, Julie
AU - Lemeunier, Nadège
AU - Mayer, John
AU - Mior, Silvano
AU - Mmopelwa, Tiro
AU - Modic, Michael
AU - Moss, Jean
AU - Mullerpatan, Rajani
AU - Muteti, Elijah
AU - Mwaniki, Lillian
AU - Ngandeu-Singwe, Madeleine
AU - Outerbridge, Geoff
AU - Rajasekaran, Shanmuganathan
AU - Shearer, Heather
AU - Smuck, Matthew
AU - Sönmez, Erkin
AU - Tavares, Patricia
AU - Taylor-Vaisey, Anne
AU - Torres, Carlos
AU - Torres, Paola
AU - van der Horst, Alexander
AU - Verville, Leslie
AU - Vialle, Emiliano
AU - Kumar, Gomatam Vijay
AU - Vlok, Adriaan
AU - Watters, William
AU - Wong, Chung Chek
AU - Wong, Jessica J.
AU - Yu, Hainan
AU - Yüksel, Selcen
N1 - Funding Information: CDJ is president of Brighthall Inc; she is an NCMIC Board of Director; however, neither she nor NCMIC board make funding decisions for the NCMIC Foundation; the views in this article are those of the authors and not those of Stanford University, Stanford Health Care, or Qualcomm. SH declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. Clinical Policy Advisory Board and stock holder, Palladian Health. Advisory Board, SpineHealth.com. Book Royalties, McGraw Hill. Travel expense reimbursement?CMCC Board. RC declares funding from AHRQ to conduct systematic reviews on treatments for low back pain within last 2?years. Honoraria for speaking at numerous meetings of professional societies and non-profit groups on topics related to low back pain (no industry sponsored talks). MN declares funding from Skoll Foundation and NCMIC Foundation through World Spine Care; Co-Chair, World Spine Care Research Committee. Palladian Health, Clinical Policy Advisory Board member. Book Royalties Wolters Kluwer and Springer. Honoraria for speaking at research method courses. BNG receives speaker fees and travel reimbursement from NCMIC Speakers? Bureau; he is secretary of Brighthall Inc; the views in this article are those of the authors and not those of Stanford University, Stanford Health Care, or Qualcomm. PC is funded by a Canada Research Chair in Disability Prevention and Rehabilitation at the University of Ontario Institute of Technology, and declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. Canadian Institutes of Health Research Canada. Research Chair Ontario Ministry of Finance. Financial Services Commission of Ontario. Ontario Trillium Foundation, ELIB Mitac. Fond de Recherche and Sante du Quebec. EH declares he is a consultant for: RAND Corporation; EBSCO Information Services; Southern California University of Health Sciences; Western University of Health Sciences Data and Safety Monitoring Committee. Chair, Palmer Center for Chiropractic Research. Research Committee Co-chair, World Spine Care. DKG declares travel expenses: CMCC to present at the WSC Spine Conference in Botswana. EAc declares grants: Depuy Synthes Spine, Medtronic; Speaker?s bureau: AOSpine, Zimmer Biomet. KR declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. EA declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. TB declares European Spine Journal provided a grant to investigate scoliosis. OB declares he is a consultant for: Pacira Pharmaceuticals, Inc. Palladian Health. Travel expenses: World Spine Care. Stipend: World Spine Care. PB declares contribution to salary for Global Musculoskeletal Alliance (G-MUSC), The Bone and Joint Decade work. JMC declares Government Grant ESPY 1281/15. SE is an employee of the Botswana Ministry of Health and Wellness. CG declares travel expenses: Palmer College to GSCI meetings. Consultant: American Chiropractic Association, Spine IQ, Healthwise, Quality Insights of Pennsylvania, RAND Co.; Prezacor, Inc. (Stock Options). PCORI (Board Member). Grants: Collaborative Care for Veterans with Spine pain and Mental Health Issues. NIH/Kiernan Chiropractic Care in Rehabilitation at Crotched Mountain: Crotched Mountain Private Sector Integrated Chiropractic Study N/A. NCMIC Foundation Chiropractic services, Assessment of Chiropractic Treatment for Low Back Pain; RAND Subcontract, Department of Defense Prime Award #W81XWH-11-2-017 Sub #9920110071. JH declares his research group has extensive Funding from Danish public Funding agencies, the European Union, and Danish charities. MH declares travel support from World Spine Care. JM declares general research resources from USF Research Center. Research Grants from funding agencies: FEMA, US Department of Homeland Security (EMW-2013-FP-00723). Palladian Health Advisory board: Clinical Policy and Advisory Board. Intellectual property rights: Inventor of Web-based system to deliver exercise (Employer?USF: copyright holder). TM declares Fellowship Grant-Medtronics. JM declares WSC Board Member. EM declares AO Spine Africa Faculty courses?honorarium. GO declares he is a consultant and receives travel support as Clinic Director, World Spine Care. HR declares Funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. MS declares he is a Scientific Advisor, NuSpine; Consultant, and State Farm. ES declares funding from Ba?kent University Research Fund. ATV declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. LV declares funding to UOIT from Skoll Foundation and NCMIC Foundation through World Spine Care. WW declares Palladian Health, Clinical Policy Advisory Board member. JW declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. HY declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care and the remaining authors declare that they have no conflict of interest. Funding Information: ing from Skoll Foundation and NCMIC Foundation through World Spine Care; Co-Chair, World Spine Care Research Committee. Palladian Health, Clinical Policy Advisory Board member. Book Royalties Wolters Kluwer and Springer. Honoraria for speaking at research method courses. BNG receives speaker fees and travel reimbursement from NCMIC Speakers’ Bureau; he is secretary of Brighthall Inc; the views in this article are those of the authors and not those of Stanford University, Stanford Health Care, or Qualcomm. PC is funded by a Canada Research Chair in Disability Prevention and Rehabilitation at the University of Ontario Institute of Technology, and declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. Canadian Institutes of Health Research Canada. Research Chair Ontario Ministry of Finance. Financial Services Commission of Ontario. Ontario Trillium Foundation, ELIB Mitac. Fond de Recherche and Sante du Quebec. EH declares he is a consultant for: RAND Corporation; EBSCO Information Services; Southern California University of Health Sciences; Western University of Health Sciences Data and Safety Monitoring Committee. Chair, Palmer Center for Chiropractic Research. Research Committee Co-chair, World Spine Care. DKG declares travel expenses: CMCC to present at the WSC Spine Conference in Botswana. EAc declares grants: Depuy Synthes Spine, Medtronic; Speaker’s bureau: AOSpine, Zimmer Biomet. KR declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. EA declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. TB declares European Spine Journal provided a grant to investigate scoliosis. OB declares he is a consultant for: Pacira Pharmaceuticals, Inc. Palladian Health. Travel expenses: World Spine Care. Stipend: World Spine Care. PB declares contribution to salary for Global Musculoskeletal Alliance (G-MUSC), The Bone and Joint Decade work. JMC declares Government Grant ESPY 1281/15. SE is an employee of the Botswana Ministry of Health and Wellness. CG declares travel expenses: Palmer College to GSCI meetings. Consultant: American Chiropractic Association, Spine IQ, Healthwise, Quality Insights of Pennsylvania, RAND Co.; Prezacor, Inc. (Stock Options). PCORI (Board Member). Grants: Collaborative Care for Veterans with Spine pain and Mental Health Issues. NIH/Kiernan Chiropractic Care in Rehabilitation at Crotched Mountain: Crotched Mountain Private Sector Integrated Chiropractic Study N/A. NCMIC Foundation Chiropractic services, Assessment of Chiropractic Treatment for Low Back Pain; RAND Subcontract, Department of Defense Prime Award #W81X-WH-11-2-017 Sub #9920110071. JH declares his research group has extensive Funding from Danish public Funding agencies, the European Union, and Danish charities. MH declares travel support from World Spine Care. JM declares general research resources from USF Research Center. Research Grants from funding agencies: FEMA, US Department of Homeland Security (EMW-2013-FP-00723). Palladian Health Advisory board: Clinical Policy and Advisory Board. Intellectual property rights: Inventor of Web-based system to deliver exercise (Employer—USF: copyright holder). TM declares Fellowship Grant-Medtronics. JM declares WSC Board Member. EM declares AO Spine Africa Faculty courses—honorarium. GO declares he is a consultant and receives travel support as Clinic Director, World Spine Care. HR declares Funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. MS declares he is a Scientific Advisor, NuSpine; Consultant, and State Farm. ES declares funding from Başkent University Research Fund. ATV declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. LV declares funding to UOIT from Skoll Foundation and NC-MIC Foundation through World Spine Care. WW declares Palladian Health, Clinical Policy Advisory Board member. JW declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. HY declares funding to UOIT from Skoll Foundation, NC-MIC Foundation through World Spine Care and the remaining authors declare that they have no conflict of interest. Publisher Copyright: © 2018, The Author(s).
PY - 2018/9/1
Y1 - 2018/9/1
N2 - Purpose: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. Methods: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. Results: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient’s journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. Conclusion: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]
AB - Purpose: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. Methods: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. Results: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient’s journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. Conclusion: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]
KW - Global burden of disease
KW - Musculoskeletal system
KW - Quality of health care
KW - Spinal diseases
UR - http://www.scopus.com/inward/record.url?scp=85051487825&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85051487825&partnerID=8YFLogxK
U2 - 10.1007/s00586-018-5720-z
DO - 10.1007/s00586-018-5720-z
M3 - Article
C2 - 30151805
AN - SCOPUS:85051487825
VL - 27
SP - 925
EP - 945
JO - European Spine Journal
JF - European Spine Journal
SN - 0940-6719
ER -